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ccs- IBS - skype
#1
physical exam

cbc
bmp
ua
esr
urine beta hcg if female
FOBT
pt
ptt
blood type cross match
lft
serum tsh
stool ova and parasites
stool culture and sensitivity
stool gram stain
stool fecal leukocytes
72 hr fecal fat

move the clock forward

lactose free diet
high fiber diet
loperamide

send home

review in 5 days

interval history
no smoking
no alcohol
safe sex
seat belt use
reassurance
patient education
medication complaince
regular exercise
no illegal drug use

Anything more please
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#2
order fluid in case pt is slightly dehydrated
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